JUSTIN LAVERY (NPI# 1295183275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295183275 |
| Entity Type | Individual |
| Full Name | JUSTIN LAVERY |
| Credential | CDCA |
| Practice Address |
320 Executive Dr Marion OH 43302-6310 |
| Practice Telephone | 7403875210 |
| Practice Fax Number | 7403833472 |
| Mailing Telephone | 7403875210 |
| Mailing Fax Number | 7403833472 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
150878 | OH | Behavioral Health & Social Service Providers |
| Street Address |
320 EXECUTIVE DR |
| City | MARION |
| State | OH |
| Zip Code | 43302-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720044506 | Marion Area Counseling Center, Inc. | Clinic/Center | 320 Executive Dr, Marion, OH 43302-6310 | 2006-04-21 |
| 1134735319 | Christian Horton | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2020-09-22 |
| 1942826342 | Natalie Widman | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2020-06-22 |
| 1871117994 | Dodie Swick | Counselor | 320 Executive Dr, Marion, OH 43302-6310 | 2020-06-04 |
| 1831721950 | Sara Provenzale | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2020-02-06 |
| 1750949194 | Kimberly Cooperider | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2019-05-31 |
| 1285292623 | Cheyanne Taylor | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2019-05-31 |
| 1992263305 | Joanna Starcher | Licensed Practical Nurse | 320 Executive Dr, Marion, OH 43302-6373 | 2019-03-05 |
| 1477019370 | Jaime Malinda Shroyer | Licensed Practical Nurse | 320 Executive Dr, Marion, OH 43302-6373 | 2019-02-15 |
| 1790240869 | Mackenzie Poling | Student in an Organized Health Care Education/Training Program | 320 Executive Dr, Marion, OH 43302-6373 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121778 | Ashley Jade Kirby | Counselor | 1581 Marion Waldo Rd # 710, Marion, OH 43302-7423 | 2020-07-20 |
| 1104452333 | Patrick Travis Woodruff | Counselor | 246a S Main St, Marion, NC 28752-4551 | 2020-03-19 |
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1508411026 | Tristan Wayne Killian | Counselor | 356 Beaver Creek Rd, Marion, NC 28752-9081 | 2019-08-02 |
| 1487214854 | Jennifer Marie Kositzky | Counselor | 151 Marion Blvd, Marion, IA 52302-3135 | 2019-06-18 |
| 1639667611 | Skylette V Jackson | Counselor | 28879 Hudson Corner Rd, Marion, MD 21838-2105 | 2018-04-25 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1023515392 | Robbie S Mccain-ficklin | Counselor | 315 S Norton St, Marion, IN 46952-3296 | 2018-04-12 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| Find all providers in MARION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.